- State of Georgia (Fulton County, GA)
- …by: reviewing provider and recipient records, by making determinations of medical necessity, by making determinations as to whether services were provided ... by reviewing provider and patient records. + Makes determination of medical necessity, quality of services, and appropriateness of services rendered based… more
- CenterWell (Atlanta, GA)
- …+ Assisting in resolution of inquiries, requests, and complaints from patients + Ongoing chart review / audit of clinical staff to ensure quality care and ... to both state and federalguidelines and regulations + Maintaining medical history and medical records + Ordering studies, tests and ancillary services +… more
- CenterWell (Atlanta, GA)
- …Program Management Lead, Offshore Coding Operations conducts quality assurance audits of medical records and ICD-9/10 diagnosis codes that are submitted to the ... as internal policies and guidelines while analyzing coding information and medical records. **Mergers and Acquisitions:** + Partner with coding teams (consultative… more